Craig a. Bradford, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CRAIG A. BRADFORD, DMD

Practice address

306 Highland Blvd
Natchez, MS 39120-4611

Phone

(601) 442-9702

Fax

(601) 445-5341

NPI assigned

Jul 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Andrea Bradford, AO

Title

Office Manager

Phone

(601) 442-9702

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1154094845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-9702",
            "fax_number": "601-445-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-9702",
            "fax_number": "601-445-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A. BRADFORD, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-442-9702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Michelle Conerly, FNP-C
• Twanza Conner
• Stacy Lynn Cook, FNP-C
• Markesia Kijana Council, LMSW
• Covenant Care
• Crown Health & Rehab of Natchez, LLC
• Jacqueline Curtis, FNP-C
• Sherman M Cutrer, RPH
• Edward F Daly, M.D.
• David Alan Timm

• Pediatric Dentistry in Natchez, MS
• Providers in Natchez, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.